The paper describes formation and spreading of dense shelf waters in the Adriatic Sea (North Adriatic Dense Water, NAdDW) during the winter of 2012 as a consequence of an intense and long cold air outbreak of northeasterly Bora winds. As a result, during February 2012 northern Adriatic Sea water temperature dropped to about 6° C and density exceeded 1030 kg/m3, most likely the maximum value since 1929. NAdDW dynamics has been investigated by means of a 3-D ocean-wave coupled model running on a high resolution and eddy-permitting grid. The numerical experiments have relied on the Coupled-Ocean-Atmosphere-Wave-Sediment-Transport (COAWST) system forced one-way with atmospheric forcings provided by the model COSMO-I7. A suite of observational data has been used to characterize the Bora event and evaluate numerical model performance. At sub-basin scales, the newly formed waters flowing southerly have produced a water renewal of the northern Adriatic, as more than 50% of water volumes have left the basin. Dense waters volume transports, evaluated through different Adriatic cross-sections, have been modulated by tides (damped for the densest water masses) and reached about 1 Sv. The contribution of wave-induced forcings has been quantified and examined, indicating that these represent a major driving mechanism during NAdDW production and spreading phases. This work provides evidence that NAdDW is spread accordingly with two different mechanisms: at early stages of its formation, the wind-driven ocean circulation pushes newly formed waters to leave the northern basin with relatively high speeds (about 0.30 m/s). Later on, remaining NAdDW leaks slowly out (0.09 m/s as average) from the production site. Residence times of dense waters in the north, middle, and south Adriatic Sea are also documented.